AMAL EBRAHIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

AMAL

Last Name

EBRAHIM

Business Name

AMAL EBRAHIM

Original Issue Date

01/10/2020

Effective Date

01/10/2020

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022